Individual
DIANA LYNETTE LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
281 S SCHMIDT RD, BOLINGBROOK, IL 60440-2746
(630) 447-9056
Mailing address
917 W AGATITE AVE APT G, CHICAGO, IL 60640-6047
(901) 859-1595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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